Noise suppression in cone beam ct projection data

ABSTRACT

A method for suppressing noise in a diagnostic 3-D image, executed at least in part on a logic processor, captures, at each of a number of projection angles, 2-D image projection data, wherein each 2-D image projection has a central pixel and arranges the 2-D image projection data to form a 3-D data set. Each of the 2-D image projections is processed by performing a diffusion filtering process that obtains a homogeneity value for the 3-D data set, generates a diffusion conductance function according to an intensity gradient between adjacent digital image elements, and applies the diffusion filtering process to digital image elements according to the obtained homogeneity value, the generated diffusion conductance function, and a weighting value that relates to the distance of each pixel in the projection from the central pixel. The diagnostic 3-D image is reconstructed from the processed 2-D image projections.

FIELD OF THE INVENTION

The invention relates generally to the field of diagnostic imaging andmore particularly relates to a method for noise suppression for imagesobtained from cone-beam projection data.

BACKGROUND OF THE INVENTION

Noise is often present in acquired diagnostic images, such as thoseobtained from computed tomography (CT) scanning and other x-ray systems,and can be a significant factor in determining how well real intensityinterfaces and fine details are preserved in the image. In addition toinfluencing diagnostic functions, noise also affects many automatedimage processing and analysis tasks that are crucial in a number ofdiagnostic applications.

Methods for improving signal-to-noise ratio (SNR) and contrast-to-noiseratio (CNR) can be broadly divided into two categories: those based onimage acquisition techniques and those based on post-acquisition imageprocessing. Improving image acquisition techniques beyond a certainpoint can introduce other problems and generally requires increasing theoverall acquisition time. This risks delivering a higher X-ray dose tothe patient and loss of spatial resolution and may require the expenseof scanner equipment upgrade.

Post-acquisition filtering, an off-line image processing approach, isoften as effective as improving image acquisition without affectingspatial resolution. If properly designed, post-acquisition filteringrequires less time and is usually less expensive than attempts toimprove image acquisition. Filtering techniques can be classified intotwo groupings: (i) enhancement, wherein wanted (structure) informationis enhanced, ideally without affecting unwanted (noise) information, and(ii) suppression, wherein unwanted information (noise) is suppressed,ideally without affecting wanted information. Suppressive filteringoperations may be further divided into two classes: a) space-invariantfiltering, and b) space-variant filtering.

Space-invariant filtering techniques, wherein spatially independentfixed smoothing operations are carried out over the entire image, can beeffective in reducing noise, but often blur important structures orfeatures within the image at the same time. This can be especiallytroublesome because details of particular interest often lie along anedge or a boundary of a structure within the image, which can be blurredby conventional smoothing operations.

Space-variant filtering techniques, meanwhile, are less likely to causeblurring of the image. Various methods using space-variant filtering,wherein the smoothing operation is modified by local image features,have been proposed. Diffusive filtering methods based on Perona andMalik's work (1990) [Perona and Malik, “Scale-space and edge detectionusing anisotropic diffusion”, IEEE Trans. Pattern Analysis. MachineIntelligence, 1990 vol. 12, pp. 629-639] have been adapted to a numberof image filtering applications. Using these methods, image intensity ata pixel is diffused to neighboring pixels in an iterative manner, withthe diffusion conductance controlled by a constant intensity gradientfor the full image. The approach described by Perona and Malik usestechniques that preserve well-defined edges, but apply conventionaldiffusion to other areas of the 2-D image. While such an approachexhibits some success with 2-D images, however, there are drawbacks. Oneshortcoming of this type of solution relates to the lack ofimage-dependent guidance for selecting a suitable gradient magnitude.More particularly, since morphological or structural information is notused to locally control the extent of diffusion in different regions,fine structures often disappear and boundaries that are initiallysomewhat fuzzy may be further blurred upon filtering when this techniqueis used.

Three-dimensional imaging introduces further complexity to the problemof noise suppression. Conventional computed tomography CT scannersdirect a fan-shaped X-ray beam through the patient or other subject andtoward a one-dimensional detector, reconstructing a succession of singleslices to obtain a volume or 3-D image. Cone-beam computed tomography orCBCT scanning makes it possible to improve image capture and processingspeeds by directing a cone-beam source toward the subject and obtainingthe image on a flat-panel X-ray detector. In cone-beam computedtomography scanning, a 3-D image is reconstructed from numerousindividual scan projections, each taken at a different angle, whoseimage data is aligned and processed in order to generate and presentdata as a collection of volume pixels or voxels.

CBCT scanning is of interest for its advantages in biomedical, dental,and industrial applications. As flat-panel digital x-ray detectorsimprove in usability and performance, with reduction in imageacquisition speed, CBCT shows promise in providing 3-D imagingcapabilities at higher image resolution using lower overall radiationdose and with simplified scanner design. However, image noise remains aproblem. Using conventional diffusion techniques to reduce image noisecan often blur significant features within the 3-D image, making itdisadvantageous to perform more than rudimentary image clean-up forreducing noise content.

The processing of CBCT data for obtaining images requires some type ofreconstruction algorithm. Various types of image reconstruction havebeen proposed, generally classified as either (i) exact, (ii)approximate, or (iii) iterative. Exact cone-beam reconstructionalgorithms, based on theoretical work of a number of researchers,require that the following sufficient condition be satisfied: “on everyplane that intersects the imaged object there exists at least onecone-beam source”, also called the sufficient condition, to besatisfied. The widely used Grangeat algorithm, familiar to those skilledin CBCT image processing, is limited to circular scanning trajectory andspherical objects. Only recently, with generalization of the Grangeatformula, exact reconstruction is possible in spiral/helical trajectorywith longitudinally truncated data.

Despite advances in exact methods (i, above), approximate methods (ii)continue to be more widely used. Chief among these CBCT reconstructionapproaches and familiar to those skilled in the CT imaging arts are theFeldkamp (FDK) based algorithms.

Advantages of the FDK method include:

1) FDK based algorithms may produce better spatial and contrastresolution, since they need less regularization than do the exactreconstructions;

2) FDK processing produces improved temporal resolution. Reconstructioncan be performed using either full-scan or half-scan data. The shorterscanning time improves the temporal resolution, which is critical forapplications such as cardiac imaging, lung imaging, CT-guided medicalintervention, and orthopaedics;

3) FDK algorithms are computationally efficient. Implementation of theFDK algorithm is relatively simple, straightforward, and processing canbe executed in parallel.

The increasing capabilities of high-performance computers and advancedparallel programming techniques contribute to making iterative CBCTreconstruction algorithms (iii) more attractive. As one advantage,iterative approaches appear to have improved capabilities in handlingnoisy and truncated data. For instance, iterative deblurring viaexpectation minimization, combined with algebraic reconstructiontechnique (ART), has been shown to be effective in suppressing noise andmetal artifacts.

Image variation is inherent to the physics of image capture and is atleast somewhat a result of practical design tolerances. The discretenature of the x-ray exposure and its conversion to a detected signalinvariably results in quantum noise fluctuations. This type of imagenoise is usually described as a stochastic noise source, whose amplitudevaries as a function of exposure signal level within a projected digitalimage. The resulting relative noise levels, and signal-to-noise ratio(SNR), are inversely proportional to exposure. A second source of imagenoise is the flat-panel detector and signal readout circuits. In manycases, image noise that is ascribed to non-ideal image capture ismodeled as the addition of a random component whose amplitude isindependent of the signal level. In practice, however, several externalfactors, such electro-magnetic interference, can influence both themagnitude and the spatial correlations of image noise due to thedetector.

Noise is an inherent aspect of cone beam projection data, especially forlow-dose scans. Image filtering, an image processing approach forimproving SNR and contrast-to-noise ratio (CNR), is often as effectivein compensating for noise as is optimizing the scanner design (hardware)without affecting the image contrast and the image spatio-temporalresolution. If properly designed, filtering requires less time and canbe less expensive than improving the hardware.

Filtering methods for 2-D projection data (or sinograms) have beenreported in the literature. However, as compared against 2-Dconsiderations, the 3-D noise problem is significantly more complex anddoes not readily lend itself to 2-D solutions. Among problems notaddressed by 2-D solutions is tangential blurring, for example, anartifact familiar to those skilled in 3-D image reconstruction andattributed to angular filtering approaches.

Thus, it is seen that there is a need for improved noise suppressionfiltering methods that reduce image noise in images obtained from CBCTsystems, without compromising sharpness and detail for significantstructures or features in the image.

SUMMARY OF THE INVENTION

It is an object of the present invention to advance the art of noisesuppression in image reconstruction from CBCT image data and other typesof 3-D imaging technologies that use image reconstruction.

It is a feature of the present invention that the amount of filtering isreduced proportionately to the distance between measured voxel data.

It is an advantage of the present invention that it reduces tangentialblur in image reconstruction.

From one aspect, the present invention provides a method for suppressingnoise in a diagnostic 3-D image, the method executed at least in part ona logic processor and comprising: capturing at each of a plurality ofprojection angles, 2-D image projection data, wherein each 2-D imageprojection has a central pixel; arranging the captured 2-D imageprojection data in an electronic memory to form a 3-D data set;processing the image projection data for each of the 2-D imageprojections of the 3-D data set by performing a diffusion filteringprocess that comprises: obtaining a homogeneity value for the 3-D dataset; generating a diffusion conductance function according to anintensity gradient between adjacent digital image elements from theprojection data; applying the diffusion filtering process to a pluralityof digital image elements according to the obtained homogeneity value,the generated diffusion conductance function, and a weighting value thatrelates to the distance of each pixel in the projection from the centralpixel; and reconstructing the diagnostic 3-D image from the processed2-D image projection data.

These objects are given only by way of illustrative example, and suchobjects may be exemplary of one or more embodiments of the invention.Other desirable objectives and advantages inherently achieved by thedisclosed invention may occur or become apparent to those skilled in theart. The invention is defined by the appended claims.

BRIEF DESCRIPTION OF THE DRAWINGS

The foregoing and other objects, features, and advantages of theinvention will be apparent from the following more particulardescription of the embodiments of the invention, as illustrated in theaccompanying drawings. Elements of the drawings are not necessarily toscale relative to each other.

FIG. 1 is a schematic diagram showing components of an image acquisitionand processing system for executing the method of the present inventionin one embodiment.

FIG. 2A is a perspective view showing how cone-beam CT projections areobtained.

FIG. 2B is a perspective view showing coordinate designations forcone-beam CT imaging.

FIG. 2C is a top view, taken along the z axis, that shows a detectortranslated from a first to a second position.

FIG. 2D is a perspective view that shows parameters related to 3-D imagereconstruction.

FIG. 3 is a logic flow diagram showing steps for applying diffusionfiltering.

FIG. 4 is a perspective view showing 6-adjacent voxels relative to acentral voxel in a 3-D image.

FIG. 5 shows views of conventional reconstruction and filteringtechniques compared against the angular diffusive filtering of thepresent invention.

FIG. 6 is a graph showing the weighting function that is applied forout-of-plane pixel data relative to pixel distance from a central pixelfor angular diffusive filtering.

FIGS. 7A and 7B show different weightings applied to data from6-adjacent voxels in angular diffusive filtering.

FIG. 8 shows example graphs of noise power spectra and spatialautocorrelation function for conventional and novel approaches to thefiltering problem.

FIG. 9 is a logic flow diagram showing steps for using the angulardiffusive filtering of the present invention with 3-D imagereconstruction.

FIG. 10 is a logic flow diagram that shows processes for pre-filteringusing angular diffusion.

DETAILED DESCRIPTION OF THE INVENTION

The following is a detailed description of the preferred embodiments ofthe invention, reference being made to the figures in which the samereference numerals identify the same elements of structure in each ofthe figures.

The term “image element” or “digital image element” refers to a pixel(from “picture element” and commonly used for an image with twodimensions) or to a voxel (from “volume picture element” for an image ofthree or more dimensions). In CBCT imaging, the two types of digitalimage elements are closely related: 3-D voxels are formed using dataobtained from pixels that were obtained in one or more 2-D projections.The terms “in-plane” and “out-of-plane” relate to the arrangement ofimage element data as obtained from the planar 2-D digital detector andused to form 3-D voxels.

The term “region” is used in the present application to describe an areaof a 2-D image or, correspondingly, a volume of a 3-D or 4-D or higherimage that contains a grouping of contiguous image elements (that is,pixels in the 2-D domain; voxels in 3-D, 4-D, or higher-dimensionedimages). A region is defined by intensity characteristics of its imageelements (pixels or voxels), such as where their intensity values liewithin a certain range of values, for example, as well as where agrouping of pixels is bounded by discernable bounding structures orfeatures in the image.

The term “adjacent”, or “n-adjacent” where n is an integer, when used todescribe an image element, pixel or voxel, indicates that two imageelements are in some way contiguous. For a two-dimensional image, onepixel may be adjacent to another either at one of its 4 vertices oralong any of its 4 edges. For a three-dimensional image, one voxel maybe adjacent to another either at one of its 8 vertices, or along one ofits 12 edges, or along one of its 6 faces (to its so-called “6-adjacent”voxels). A voxel is thus adjacent to as many as 26 neighboring voxels.

Reference is made to commonly assigned U.S. patent application Ser. No.12/239,844 by Souza et al., entitled “NOISE SUPPRESSION IN DIAGNOSTICIMAGES” filed on Sep. 29, 2008.

FIG. 1 shows components of an image acquisition and processing system100 for executing the method of the present invention for 3-D imaging inone embodiment. Image acquisition and processing system 100 includes animaging system, shown in the embodiment of FIG. 1 as a cone-beam CTscanner, CBCT scanner 104. The method of the present invention couldalternately be used with other types of imaging systems, including 4-D,or other systems. In the FIG. 1 embodiment, CBCT scanner 104 images asubject 102, such as a patient, capturing image data to produce a volumeof image data as a sequence of individual image slices. The entire setof image slices provides volume image data for the subject. The numberof slices taken from one direction may vary from a few dozen to hundredsof image slices, limited by the current CT scanner resolution. The imageslices are conventionally stored in an image data store 110 as a DICOMseries, as reported in National Electrical Manufacturers Association(NEMA) ed.: Digital Imaging and Communications in Medicine (DICOM) Part3, PS 3.3 (2003). These DICOM series can be referred to as pre-processedimage data.

Post-processing of image data can take any of a number of forms. In oneembodiment, an image processing computer 106 uses the DICOM seriesstored in image data store 110 to produce filtered (noise-suppressed)image slices. In the embodiment of FIG. 1, image processing computer 106invokes angular diffusion computer software 118 that includes storedinstructions arranged to provide noise-filtered image output, using aniterative sequence described in more detail subsequently. An optionaldisplay 120 then allows the processed image to be viewed.

Embodiments of the present invention provide an improved filteringmethod for image noise suppression in projection data for CBCT, as wellas for fan beam and tomosynthesis applications. Unlike earlier filteringmethods, the method of the present invention utilizes information aboutthe geometry of image capture as it relates to the relative positions ofvoxels in the reconstructed image.

For an understanding of how the method of the present inventionoperates, it is first useful to review CBCT image acquisition and todescribe coordinate assignments and geometry used in subsequent detaileddescription. The perspective views of FIGS. 2A and 2B and plan view (topview from along the z-axis) of FIG. 2C show concepts, terminology, andgeometry that are used in the present disclosure. FIG. 2D helps to showthe effect of arc length on projection data.

Referring to FIG. 2A, the basic pattern and sequence of CBCT imaging isshown in simplified schematic form. At each of a series of positionsthat encircle an object 20, a cone beam source 22 directs a cone ofx-rays through object 20 and onto a flat panel detector 24, such as adigital radiography (DR) receiver. This captures a 2-D projection imagethat is to be used in subsequent 3-D reconstruction. Source 22 anddetector 24 are successively moved into each position in sequence. Anumber of positions are represented in phantom form in FIG. 2A; inpractice, positions are typically spaced closer together than shownhere, with angle β between one position and the next typically not morethan a few degrees. These positions typically extend in a half-circle orcircle about object 20. Detector 24 provides its image data for thecomponent projection image to image processing computer 106 (FIG. 1)that executes the image reconstruction logic processing for generating3-D data from the series of component 2-D cone beam projection images.In the simplest arrangement, the ray that passes directly through thecenter of object 20 is incident at a center point t_(c), a central pixelon detector 24.

The schematic diagram of FIG. 2B shows the coordinate systemdesignations that are used in subsequent description. The initialreference coordinate system is the conventional Cartesian (x, y, z)coordinate system, with rotation of source 22 and detector 24 about thez axis.

As source 22 is moved from one position to the next, a rotatedcoordinate system (t, s, z) is used. The 2-D coordinate system ofdetector 24 has orthogonal axes designated v and u. FIG. 2B shows thetranslated detector 24 with orthogonal axes designated v′ and u′.

FIG. 2C shows a top view, taken along the z axis, with detector 24translated from a first to a second position. Represented at center is a2-D slice from the 3-D volume. Distance D_(so) is the distance from thesource 22 to the center of object 20. Distance D_(sd) is the distancefrom the source 22 to detector 24. Labels P_(β)(t) designate detectorpositions at different angles β. The symbol Δ designates a distance of apixel from the left edge of detector 24 to a central pixel.

A projection scene is formed as a set of planar projections P_(β)(u,v,)of object 20 obtained at a number of angles β and stacked together toform a 3-D volume image. An acquired digital 3-D image projection sceneis represented as a pair C=(C,f), wherein:

C={c|−b _(j) ≦c _(j) ≦b _(j) for some b _(j) εZ ₊ ³}

wherein Z₊ ³ is the set of 3-tuples of positive integers called voxels,f is a function whose domain, termed the scene domain, is C. The rangeoff f is a set of integers [L,H] and for any cεf(c),f(c) is referred toas the intensity of c. whose values are the measurements of theprojection data P_(β)(u,v,) such that there exists a one-to-one mappingfrom c to (u, v, β). Domain C corresponds to a binary scene if the rangeof f is {0,1}.

One inherent problem for any of the 3-D reconstruction techniquesrelates to voxel location relative to the center of the scanned subject.This problem can be more clearly shown by considering the spatial orgeometric relationship of pixels in two consecutive 2-D projectionimages. Referring to the idealized perspective view of FIG. 2D, twodetector 24 positions, for two adjacent projection images relative tothe actual volume of the imaged subject, are shown as if superimposedover the subject, separated by angle β. In processing, successiveprojection images are arranged in an electronic memory accessible to thelogic processor as a 3-D data set, with their data stacked according tothe corresponding projection angle β. For this example, it is assumedthat the central ray of the cone beam is incident at central pixel t_(c)for each projection image; in actual practice, there may be an offsetfrom the exact geometric center position for one or more projectionimages.

Referring to the example of FIG. 2D, central pixel t_(c), correspondingto the central voxel of the reconstructed 3-D image, is at the center ofdetector 24 at each detector 24 position. Where the central x-ray of thecone is incident at pixel t_(c), 3-D data for the central voxel thatcorresponds to this central pixel position can be highly accurate.However, this accuracy diminishes for portions of the imaged volume thatare some distance from this central voxel. As pixels are increasinglyspaced farther away from central pixel t_(c) and closer to the edge ofdetector 24, there is an increased arc length between projection imagesfor the same pixel location on the detector. Arc length increases withincreasing radius. FIG. 2D shows three arc lengths A, A′, and A″,progressively increasing in dimension with increased distance from thecentral axis of rotation z. Because of this, by comparison with centralpixel t_(c), peripheral pixel p provides data from points in space thatare more distant from each other. This disparity due to the radialnature of image reconstruction not only impacts the accuracy ofreconstruction, but also complicates the task of noise suppression andfiltering. Information for noise suppression, for example can be veryaccurate for voxels that are reconstructed from projection data takennear the center of the subject. But for voxels along the periphery,there is less reliability in obtaining information from correspondingneighboring pixels in adjacent projection images.

In actual practice, the central x-ray may not be incident at t_(c), butmay be offset by some distance for one or more projection images. Thiscapability for offset is used, for example, to enhance the field of viewof the 3-D imaging process.

FDK Reconstruction

To more particularly describe aspects of the present invention, it isinstructive to review the basic procedure for 3-D image reconstructionthat is used in conventional Feldkamp (FDK) reconstruction. Using theconventional circular trajectory of FIGS. 2A-2D, the Feldkamp or FDKreconstruction algorithm has three basic steps:

-   -   (1) weighting P_(β)(u,v,);    -   (2) convolving the weighted projections with a filter kernel h;        and    -   (3) backprojecting the filtered data from every angle β,        according to the formula:

$\begin{matrix}{{{g\left( {t,s,z} \right)} = {\frac{1}{2}{\int_{0}^{2\pi}{\frac{D_{so}^{2}}{\left( {D_{so} - s} \right)^{2}}{\int_{- \infty}^{\infty}\ {{P_{\beta}\left( {u,v} \right)}*{h\left( {\frac{D_{so}t}{D_{so} - s} - u} \right)}*\frac{D_{so}}{\sqrt{D_{so}^{2} + v^{2} + u^{2}}}{u}\ {\beta}}}}}}},} & (1)\end{matrix}$

wherein D_(so) is the distance from the source to the origin of theobject coordinate system. The (u,v) coordinate system of the detector isgiven by the following transformations:

$\begin{matrix}{u = \frac{D_{so}t}{D_{so} - s}} & (2) \\{v = \frac{D_{so}z}{D_{so} - s}} & (3)\end{matrix}$

In the Cartesian coordinate system (x, y, z), the rotated coordinatesystem (t, s, z) is expressed by:

t=x cos β+y sin β  (4)

s=−x sin β+y cos β  (5)

This coordinate transform is shown in FIG. 2B.

FDK reconstruction has been shown to be a useful tool for combining theimage data from numerous images taken about a circular trajectory of thesubject. However, this technique suffers from noise content, a problemthat has not been satisfactorily corrected using existing filtering orother noise-compensation techniques. The method of the present inventionsupports FDK reconstruction by supplying a set of filtered projectionswith suppressed noise content.

Anisotropic Diffusion

In order to better understand how angular diffusive filtering of thepresent invention operates, it is instructive to contrast it with otherdiffusion filtering methods used for image processing. As described inthe 2-D noise suppression filtering work of Perona and Malik, citedearlier, anisotropic diffusion is a locally adaptive smoothing processthat attempts to minimize blurring near object boundaries. Amathematical formulation in a continuous domain, known to those familiarwith Gauss's theorem from vector calculus, expresses the diffusionprocess on a vector field Vat a point c in coordinate-free form by:

$\begin{matrix}{\frac{\partial f}{\partial t} = {{divV} = {\lim\limits_{\Delta \; {t0}}{\int_{s}^{\;}{V\ {s}}}}}} & (6)\end{matrix}$

wherein Δt is the volume that is enclosed by the surface s thatsurrounds a given point c and ds=u ds, where u is a unit vector that isorthogonal and outward-directed with respect to the infinitesimalsurface element ds. The intensity flow vector field V controls thediffusion process and is defined as:

V=GF  (7)

where G is the diffusion conductance function, and F is the sceneintensity gradient vector field. In a conventional linear isotropicdiffusion process, G is a constant. In the Perona and Malik articlenoted earlier, the authors indicate that such diffusion strategies blurobject boundaries and structures. Thus, the noise suppression methodproposed by Perona and Malik is an alternative anisotropic diffusionmethod in which G varies at each location in the scene as a nonlinearfunction of the magnitude of the scene intensity gradient so thatsmoothing within a region with low intensity gradients is encouraged,and smoothing across boundaries, wherein the magnitude of the gradientsis much higher, is discouraged.

It is instructive to consider how anisotropic diffusive filtering, assuggested for 2-D images by Perona and Malik, can be extended to a 3-Ddata set for 3-D image reconstruction and to further understand some ofthe limitations of this approach. The flow diagram of FIG. 3 shows thesequence of processes that are applied for noise suppression when usinganisotropic diffusive filtering. In an estimation step 328, appropriatediffusion parameters are computed. Estimation step 328 computesparameters using statistical values that relate to intensity differencesin the image data. This includes computing or otherwise obtaining ahomogeneity value, a for the 3-D data set for the complete image. Adiffusion filtering step 440 then applies the diffusion parameters thathave been computed to the 3-D data set. This is an iterative process,repeating one or more times in order to provide improved noisesuppression. In subsequent processing, the filtered image from theprevious iteration is further filtered. This processing uses the6-adjacent voxel neighborhood in 3-D discrete space. The 6-adjacentvoxels have surface adjacency, as described earlier. FIG. 4 illustratesan exemplary 3-D representation 200 for a 6-adjacent voxel V1-V6neighborhood for a central voxel.

For comparison of noise reduction methods, FIG. 5( a) shows the resultsof FDK processing, with the identified area enlarged in 5(d), showing asignificant noise pattern. FIG. 5( b) shows the results of applyinganisotrophic diffusion to the image. FIG. 5( e) shows an enlargedportion of the image of FIG. 5( b), with a tangential blur that appearsfrom left to right in the image shown.

Tangential blur is an artifact that results due to the circular imagingpath that is used for CBCT and due to the corresponding arc lengthdifferences for pixels on the detector, as was described earlier withreference to FIG. 2D. Because the radiation is directed as a cone beamthrough the subject, as was described earlier with respect to FIGS.2A-2D, the arc length between adjacent out-of-plane pixels (that wouldbe used to form voxels V5 and V6 in FIG. 4) varies depending on theirdistance from the source. As has been shown, the arc length distance forthe out-of-plane adjacent pixels in the 2-D projections, negligible forforming voxels that are very near the center voxel of the subject beingimaged, is more and more pronounced as voxels are reconstructed fromdata taken more distant from the center, most pronounced for voxels thatare to be formed from data taken along the perimeter of the subject,furthest from the center.

Angular Diffusion

The method of the present invention provides a novel technique for 3-Dweighted angular diffusive filtering that is particularly suitable forCBCT and other types of projection images and reduces or eliminates thevisible effects of tangential blur. Unlike conventional 3-D filteringand reconstruction techniques, the method of the present invention takesinto account the geometry of image acquisition and applies imagediffusion more or less aggressively, depending on the spatialrelationships between acquired data. This method accounts for gradientdirections and voxel locations relative to the center of rotation(z-axis) as projected onto the detector for each component projectionimage. Similar to the anisotropic method described above, but unlikeearlier noise suppression techniques, the method of the presentinvention is iterative, with steps that repeat one or more times inorder to more effectively apply diffusion processes with each iterationand to yield improved results.

Embodiments of the present invention carry out angular diffusion as aniterative method. For the description of this method that follows,variable k denotes the iteration number. Then C_((k))=(C,f_((k)))denotes the scene resulting from one iteration of diffusion processing,at the kth iteration.

The diffusion flow magnitude function |V| has its maximum value atmagnitude gradient |F|=σ_(ψ). |V| is monotonically increasing for|F|<σ_(ψ) and monotonically decreasing for |F|>σ_(ψ). The diffusionconductance function for the flow from c to d at the tth iteration isgiven by:

$\begin{matrix}{{G_{(k)}\left( {c,d} \right)} = ^{- \frac{{{f_{(k)}{({c,d})}}}^{2}}{2\sigma_{\phi}^{2}}}} & (8) \\{{f_{(k)}\left( {c,d} \right)} = {\frac{{f_{(k)}(c)} - {f_{(k)}(d)}}{\sqrt{\sum\limits_{i = 1}^{3}\; \frac{{v_{i}^{2}\left( {d_{i} - c_{i}} \right)}^{2}}{\min_{j}\left\lbrack v_{j}^{2} \right\rbrack}}}{D\left( {c,d} \right)}}} & (9)\end{matrix}$

where, for any 6-adjacent voxels c,dεC such that c≠d, then D(c,d) is theunit vector along the direction from voxel c toward voxel d.F_((k))(c,d) is the component of the intensity gradient vector alongD(c,d). Voxel size is taken into account in equation (9) where v=(v₁,v₂, v₃). Intensity flow vector V_((k))(c,d) from voxel c to voxel d atthe kth iteration is defined by:

V _((k))(c,d)=G _((k))(c,d)F _((k))(c,d)  (10)

Iterative processing is then defined as follows:

$\begin{matrix}{{f_{(k)}(c)} = \left\{ \begin{matrix}{f(c)} & {{{for}\mspace{14mu} k} = 0} \\{{f_{k - 1}(c)} - {k_{s}{\sum\limits_{d \in C}^{\;}\; {{V_{k - 1}\left( {c,d} \right)} \cdot {D\left( {c,d} \right)}}}}} & {{{for}\mspace{14mu} k} > 0}\end{matrix} \right.} & (11)\end{matrix}$

where k_(s) is a time step constant for the diffusion process. Valuek_(s) is non-negative and has an upper bound limit that depends onadjacency criterion in order to keep the process stable. In oneembodiment, the value k_(s)= 1/7 is used.

The flow direction between any two voxels c, dεC is always such thatthis process tries to reduce the gradient between them. That is:V_(k)(c,d)·D(c,d) is positive when f_(k)(c)>f_(k)(d), and negativeotherwise, and zero when c=d. Further, this diffusion process asdescribed with respect to equations (8) through (11) is both nonlinearand anisotropic.

In the angular diffusive-iterative process, v1 and v2 are in-planeresolution defined by the detector's pixel size. v3 is the out-of-planedistance between projection angles β defined as the maximum arc-length.v3 is computed in the image space and measures the maximum arc-lengthdescribed by the central x-ray after two consecutive projections. Thisis shown schematically in FIG. 2C.

In order to prevent tangential blur in the reconstructed volume,particularly in very noisy projection data that requires much longerdiffusion time (i.e., more iterations), further weighting of v3 isapplied. This weighting factor w is a function of t, the longitudinalaxis of the projection scene (i.e., detector row), given by:

$\begin{matrix}{{w(t)} = \left\{ \begin{matrix}{{1 - \sqrt{\sin^{2}\left( {2\mspace{14mu} \arctan \frac{t - \Delta}{t_{c}}} \right)}},{0 \leq t \leq {\Delta + t_{c}}},} & {{{if}\mspace{14mu} \Delta} < t_{c}} \\{{1 - \sqrt{\sin^{2}\left( {2\mspace{14mu} \arctan \frac{\Delta - t}{t_{c}}} \right)}},{{\Delta - t_{c}} \leq t \leq {2t_{c}}},} & {{{if}\mspace{14mu} \Delta} < t_{c}} \\{0,} & {otherwise}\end{matrix} \right.} & (12)\end{matrix}$

wherein Δ is the displacement from the central x-ray beam to theleft-most edge of the detector, which is designated t=0. Value t_(c) isat the center of the detector. In the simplest or “ideal” case, when thecentral x-ray beam passes through the center of the detector asdescribed earlier with reference to FIGS. 2A-2D, t_(c)=Δ.

The weighting function w(t) is a

-shaped (teepee-shaped) function as shown in FIG. 6 with a maximum valueof 1.0 at t=Δ. For the simplest case, where t_(c) 32 Δ, for a pixel at tlying to the left or right of t_(c), the value of w(t) varies with thedistance from the center t_(c), with decreased weight assigned as thedistance from center increases. For the more general case, such as wherethe central x-ray does not pass through t_(c) but is offset from thiscentral pixel position, equation (12) describes how w(t) is computed.

The angular-diffusive iterative process modifies F_(k)(c, d) in equation(9) as follows:

F _(k)(c,d)=w(t)F _(k)(c,d) for D(c,d) along the 3rd axis  (13)

It is noted that the weighting applies for diffusion to voxel locationsthat are formed from pixel data for pixels out-of-plane relative to thedetector at a particular position. Referring to FIG. 7A, weightings fordiffusion to the 6-adjacent pupils for a pupil near center t_(c) areshown. Here, a weighting of 1.0 applies for both in-plane (v1, v2)voxels V1-V4 and out-of-plane (v3) voxels V5 and V6. By contrast, FIG.7B shows exemplary weightings for diffusion for a pixel t_(n) furtherout toward the edge of the detector. Here, a weighting of 0.3 is appliedfor the diffusion to out-of-plane voxels V5 and V6.

The weighting technique of the present invention causes neighboringin-plane voxels to have more influence on the diffusion algorithm forlocations farther from the center of the imaged subject. For voxelscloser to the center, voxels from previous and next projections in theseries have a greater influence for the diffusion algorithm.

The method of the present invention is advantaged by using built-inknowledge of the geometry of image capture. Unlike other noisecompensation algorithms, the relative location of each pixel in acomponent 2-D projection image influences how diffusion is carried outrelative to that pixel location.

The graph of FIG. 8 compares the performance of angular diffusionaccording to the present invention with anisotropic diffusion methods.

At FIG. 8 a noise-power spectrum (NPS) graph shows x-direction andy-direction component noise power spectrum data. The NPS shows imagenoise, over a nominally uniform area, as a function of spatialfrequency. In general, a higher value at high frequencies (approximately0.25-0.5 cycles/pixel) corresponds to image noise. As is shown,reduction in noise is clearly obtained using either filtering method.FIG. 8 shows that anisotropic diffusion has reduced the noise level,compared to those of the original input (x-orig, y-orig). However, thedifferences between the x- and y-directions are large at lowfrequencies, due to tangential blurring. This indicates the presence ofa texture that can be seen as one-dimensional smearing, as in thecorresponding image of FIG. 5( e). In contrast, the corresponding NPScurves for the angular diffusion of the present invention are closer,that is, are more consistent, particularly at low frequencies. Thisresults in a more uniform appearance that has less one-dimensionaltexture. This effect is achieved while performing the noise reduction athigh frequencies.

The grayscale images in FIG. 5 show results from applying the method ofthe present invention in one embodiment, shown in the right-most column((c) and (f)) against the original image (left column (a) and (d)) andagainst results from anisotropic diffusion (middle column (b) and (e)).As this figure sequence shows, tangential blurring is eliminated andnoise is reduced using the method of the present invention.

Logic Flow Diagrams

FIG. 9 is a logic flow diagram that shows a sequence of image captureand reconstruction that uses the angular diffusion methods of thepresent invention. A image capture step S100 obtains the data for theset of 2-D projection images, each displaced from its adjacent image byangle β. An image stacking step S110 then arranges the 2-D projectiondata images in order to form a 3-D data set. Estimation is part of imagestacking step S110. A pre-filtering step S120 then applies the angulardiffusive filtering described herein in order to suppress noise prior toa reconstruction step S130. Step 120 is iterative, and may execute onlyonce or may repeat one or more times until satisfactory results areachieved. In step S130, the pre-filtered data then goes to the imagereconstruction utility for forming the 3-D image, which can then befurther processed and displayed.

FIG. 10 is a logic flow diagram that shows, in more detail, theprocesses for pre-filtering using angular diffusion within step S120 inone embodiment. In a computation step S122, a weighting value iscomputed that relates to the distance of each pixel in the projectionfrom the central pixel t_(c). A homogeneity value step S124 computes orotherwise obtains a homogeneity value, typically σ, for the complete 3-Ddata set. A conductance function step S126 generates a diffusionconductance function according to the intensity gradient betweenadjacent digital image elements. A filtering step S128 then applies theangular diffusive filtering algorithm to projections in the 3-D dataset. Diffusive filtering depends on the obtained homogeneity value, thegenerated diffusion conductance function, and the computed weightingvalue. Repeated operation, using the loop represented in FIG. 10,refines and improves the filtering process for providing processedprojection data.

Advantageously, the noise suppression method of the present inventiondoes not require more information than does subsequent reconstructionprocessing. Thus, this processing can be performed in concert with theFDK or other reconstruction algorithms that are used. The method of thepresent invention has been described primarily as it relates tocone-beam x-ray image processing; however, this method can also be usedfor other types of imaging where 3-D reconstruction techniques areemployed.

The various techniques described herein may be implemented in connectionwith hardware or software or, where appropriate, with a combination ofboth. Thus, the methods and apparatus of the invention, or certainaspects or portions thereof, may take the form of program code (i.e.,instructions) embodied in tangible media, such as magnetic media,CD-ROMs, hard drives, or any other machine-readable storage medium,wherein, when the program code is loaded into and executed by a logicprocessor, such as a computer or image processing workstation, the logicprocessor becomes an apparatus for practicing the invention.

The method of the present invention can be executed automatically andits results stored electronically and displayed on a display terminalwithout operator intervention. Alternately, the operator can enterinformation or values that condition the performance of an automatedalgorithm. For example, the homogeneity value obtained in step 124 (FIG.10) may alternately be entered or adjusted by an operator in order toaffect the performance of diffusive filtering. An optional operatorinterface, provided in conjunction with a display terminal such asdisplay 120 (FIG. 1), allows the operator to enter an instructionspecifying a change to the homogeneity value and to view resultscomputed using a number of different homogeneity values. In oneembodiment, the operator interface is a touchscreen with a slider iconfor entry of an adjustment instruction from the operator.

The invention has been described in detail with particular reference toa presently preferred embodiment, but it will be understood thatvariations and modifications can be effected within the spirit and scopeof the invention. The presently disclosed embodiments are thereforeconsidered in all respects to be illustrative and not restrictive. Thescope of the invention is indicated by the appended claims, and allchanges that come within the meaning and range of equivalents thereofare intended to be embraced therein.

PARTS LIST

-   20. Subject-   22. Source-   24. Detector-   100. Image acquisition and processing system-   102. Subject-   104. CT scanner-   106. Computer-   110. Data store-   118. Selective diffusion computer software-   120. Display-   200. 3-D representation-   328. Estimation step-   440. Filtering step-   S100. Image capture step-   S110. Image stacking step-   S120. Pre-filtering step-   S122. Computation step-   S124. Homogeneity value step-   S126. Conductance function step-   S128. Filtering step-   S130. Reconstruction step-   t_(c). Central pixel-   V1-V6. 6-adjacent voxels

1. A method for suppressing noise in a diagnostic 3-D image, the methodexecuted at least in part on a logic processor, comprising: capturing ateach of a plurality of projection angles, 2-D image projection data,wherein each 2-D image projection has a central pixel; arranging thecaptured 2-D image projection data in an electronic memory accessible tothe logic processor to form a 3-D data set; processing the imageprojection data for each of the 2-D image projections of the 3-D dataset by performing a diffusion filtering process comprising: obtaining ahomogeneity value for the 3-D data set; generating a diffusionconductance function according to an intensity gradient between adjacentdigital image elements from the projection data; and applying thediffusion filtering process to a plurality of digital image elementsaccording to the obtained homogeneity value, the generated diffusionconductance function, and a weighting value that relates to the distanceof each pixel in the projection from the central pixel; andreconstructing the diagnostic 3-D image from the processed 2-D imageprojection data.
 2. The method of claim 1 wherein obtaining ahomogeneity value for the 3-D data set comprises computing an averagevalue of magnitude of intensity differences or gradient for two or moredigital image elements.
 3. The method of claim 2 further comprisingcomputing a standard deviation for the magnitude of intensitydifferences or gradient for pairs of pixels.
 4. The method of claim 1wherein the central pixel for one or more 2-D image projection is offsetfrom the geometric center pixel of a digital image detector.
 5. Themethod of claim 1 wherein the generated diffusion conductance functionreduces the magnitude of intensity differences or gradient for one ormore pairs of digital image elements.
 6. The method of claim 1 furthercomprising displaying the processed reconstructed image on a displayscreen.
 7. The method of claim 1 wherein generating the diffusionconductance function comprises generating an angular diffusion functionaccording to relative angles at which the 2-D image projection data hasbeen obtained.
 8. The method of claim 1 wherein applying the diffusionfiltering process is further executed one or more times.
 9. The methodof claim 1 wherein obtaining the homogeneity value further comprisesreceiving an operator entry.
 10. A method for filtering a first 2-Dx-ray projection image of a subject for use in a 3-D imagereconstruction, the method executed at least in part on a logicprocessor, comprising: obtaining the first 2-D projection image data andidentifying a central pixel of a detector; obtaining projection imagedata for a second 2-D projection image at an offset angle in relation tothe first 2-D projection; arranging the 2-D projection image data for atleast the first and second 2-D projection images in an electronic memoryto form a 3-D data set; applying a diffusive filtering process to atleast a first pixel of the first 2-D projection image data and weightingthe diffusive filtering process for the first pixel, relative to anout-of-plane pixel of the second 2-D projection image, according to thedistance between the first pixel and the central pixel, andreconstructing the diagnostic 3-D image using the processed 2-D imageprojection data.
 11. The method of claim 10 further comprising repeatingapplying the diffusive filtering process one or more times.
 12. Themethod of claim 10 further comprising displaying the reconstructed 3-Dimage.
 13. The method of claim 10 wherein applying the diffusivefiltering process further comprises determining an intensity gradientbetween adjacent digital image elements.
 14. A method for filtering aplurality of 2-D x-ray projection images of a subject for use in a 3-Dimage reconstruction, the method executed at least in part on a logicprocessor and comprising, for each pixel of a plurality of pixels in a2-D projection image that is stored in electronic memory accessible tothe logic processor: computing a variable weight value according to thedistance between the each said pixel and a central pixel of the 2-Dprojection image upon which a central x-ray has been incident; andapplying a diffusion process for each said pixel with a fixed weightvalue for in-plane adjacent pixels and the variable weight value forout-of-plane adjacent pixels.
 15. The method of claim 14 wherein thestep of applying the diffusion process repeats one or more times. 16.The method of claim 14 further comprising reconstructing a diagnostic3-D image from the plurality of filtered 2-D x-ray projection images.17. The method of claim 16 further comprising displaying thereconstructed diagnostic 3-D image.
 18. The method of claim 14 whereinapplying the diffusion process further comprises: obtaining ahomogeneity value for the plurality of 2-D x-ray projection images; andgenerating a diffusion conductance function according to an intensitygradient between adjacent digital image elements.